Bevacizumab-associated bowel microperforation in a patient with neuroblastoma Journal Article


Authors: Glincher, R.; Price, A. P.; Laquaglia, M. P.; Kushner, B. H.; Modak, S.
Article Title: Bevacizumab-associated bowel microperforation in a patient with neuroblastoma
Abstract: The antivascular endothelial growth factor antibody, bevacizumab, is effective against several malignancies in adults but unproven in pediatric oncology. In early phase pediatric studies toxicities were similar to those in adults. Bowel perforation in adults is a rare but serious toxicity, but has not been hitherto reported in children. A 5-year-old boy with chemoresistant neuroblastoma treated with bevacizumab plus radioimmunotherapy developed acute abdominal pain. Computed tomography scan showed free abdominal air and pneumatosis coli. Emergency laparotomy and bowel diversion were performed leading to complete recovery and timely continuation of antineuroblastoma therapy. Early recognition and rapid intervention can prevent a catastrophic outcome in bevacizumab-related bowel perforation. © 2018 Wolters Kluwer Health, Inc. All rights reserved.
Keywords: bevacizumab; neuroblastoma; pediatrics; bowel perforation
Journal Title: Journal of Pediatric Hematology/Oncology
Volume: 40
Issue: 6
ISSN: 1077-4114
Publisher: Lippincott Williams & Wilkins  
Date Published: 2018-08-01
Start Page: e394
End Page: e396
Language: English
DOI: 10.1097/mph.0000000000000940
PROVIDER: scopus
PMCID: PMC5812839
PUBMED: 28816801
DOI/URL:
Notes: Article -- Export Date: 4 September 2018 -- Source: Scopus
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  1. Anita P Price
    53 Price
  2. Brian Kushner
    311 Kushner
  3. Shakeel Modak
    249 Modak